Under the supervision of the Claims Manager, responsible for timely and accurate billing of medical, dental, and behavioral health claims, insurance information, patient charges and payments. Works on a team covering various aspects of medical, dental, and behavioral health billing. Must be detail-oriented, resourceful, organized, and able to shift priorities as needed. Supports dental registration duties as needed.

Key responsibilities:

Enter charges and transmit clean claims per coding, carrier, and contract guidelines.
Handle dental, medical billing and accounts receivable oversight/investigation.
Assist patients with billing questions and answer incoming calls.
File claims related to dental, medical, and behavioral health.
Post/apply payments accurately and efficiently.
Complete prior authorizations and referrals for all locations.
Review and update patient charts.
Create patient claims, collect and document payments in electronic health records.
Troubleshoot open issues related to payments and insurance.
Research and resolve claim denials, refunds, and collections follow-up.
Communicate with providers/staff regarding patient communications.
Maintain organized work area.
Verify patient insurance and enter insurance info in practice management software.
Participate in quality improvement activities.
Must have experience with Dentrix and Athena EMR systems.
Perform collections on past due medical and dental accounts.
Other duties as assigned.

Qualifications:

Minimum 1 year clerical office experience.
Minimum 1 year coding, billing, and/or charge entry healthcare experience.
High school diploma or GED; Associates degree preferred.
Strong organizational, problem-solving and critical thinking skills.
Ability to maintain confidentiality and communicate effectively.
Bilingual in Spanish/English preferred.
Ability to travel to multiple locations.

Physical demands include repetitive hand movements, occasional standing, walking, stooping, and talking/hearing.

Core values: Patient centered service, caring and compassion, respectful communication, teamwork, accountability, and customer safety.

Company is a Federally Qualified Health Center providing comprehensive primary healthcare regardless of ability to pay.

Billing Specialist